JEFFREY LAWRENCE LATA

GENEVA, IL
NPI1144389297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: IL  166-000591)
Enumeration Date2006-12-06
Last Update Date2007-07-08
Business Address
Mr. JEFFREY LAWRENCE LATA LMFT
1250 EXECUTIVE PL BUILDING 500
GENEVA, IL 60134-3807
Phone number: 630-232-7457
Mailing Address
Mr. JEFFREY LAWRENCE LATA LMFT
627 OAKWOOD DR
GENEVA, IL 60134-1527
Phone number: 630-845-8847
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